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General NPI Number Information
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NPI Number | 1962959510
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Entity Type | Organization
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Legal Business Name | PRESTIGE MULTISERVICES MANAGEMENT CO, LLC
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 12000 RICHMOND AVE SUITE 330
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City | HOUSTON
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State | TX
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Zip | 77082-2428
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Country | US
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Telephone | 713-334-0530
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Fax | 713-334-0552
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Provider Business Mailing Address
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Address Line | 12000 RICHMOND AVE SUITE 330
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City | HOUSTON
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State | TX
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Zip | 77082-2428
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Country | US
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Telephone | 713-334-0530
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Fax | 713-334-0552
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Authorized Official
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Title or Position | PRESIDENT
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Name | DELIA LILA SALINAS
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Credential |
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Telephone | 832-656-5878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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